ORCID Profile
0000-0001-6968-2677
Current Organisations
University of Western Australia
,
National Museum of Natural History
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Publisher: Elsevier BV
Date: 08-2023
Publisher: SAGE Publications
Date: 28-03-2017
Abstract: Specialist training provides skilled workforce for service delivery. Stroke medicine has evolved rapidly in the past years. No prior information exists on background or training of stroke doctors globally. To describe the specialties that represent stroke doctors, their training requirements, and the scientific organizations ensuring continuous medical education. The World Stroke Organization conducted an expert survey between June and November 2014 using e-mailed questionnaires. All Organization for Economic Co-operation and Development countries with million population and other countries with million population were included ( n = 49, total 5.6 billion inhabitants, 85% of global strokes). Two stroke experts from each selected country were surveyed, discrepancies resolved, and further information on identified stroke-specific curricula sought. We received responses from 48 (98%) countries. Of ischemic stroke patients, 64% were reportedly treated by neurologists, ranging from 5% in Ireland to 95% in the Netherlands. Per thousand annual strokes there were average six neurologists, ranging from 0.3 in Ethiopia to 33 in Israel. Of intracerebral hemorrhage patients, 29% were reportedly treated by neurosurgeons, ranging from 5% in Sweden to 79% in Japan, with three neurosurgeons per thousand strokes, ranging from 0.1 in Ethiopia to 24 in South Korea. Most countries had a stroke society (86%) while only 10 (21%) had a degree or subspecialty for stroke medicine. Stroke doctor numbers, background specialties, and opportunities to specialize in stroke vary across the globe. Most countries have a scientific society to pursue advancement of stroke medicine, but few have stroke curricula.
Publisher: Museum National D'Histoire Naturelle
Date: 07-06-2021
Publisher: Elsevier BV
Date: 09-2017
Publisher: Springer Science and Business Media LLC
Date: 27-07-2019
Publisher: Magnolia Press
Date: 09-01-2012
Publisher: Elsevier BV
Date: 10-2017
Publisher: The Biological Society of Washington
Date: 2018
DOI: 10.2988/17-00024
Publisher: Wiley
Date: 10-06-2018
DOI: 10.1111/CLA.12202
Publisher: Springer Science and Business Media LLC
Date: 21-07-2021
Publisher: Elsevier BV
Date: 04-2017
Publisher: S. Karger AG
Date: 2017
DOI: 10.1159/000479518
Abstract: b i Background: /i /b The burden of stroke in low- and middle-income countries (LMICs) is large and increasing, challenging the already stretched health-care services. b i Aims and Objectives: /i /b To determine the quality of existing stroke-care services in LMICs and to highlight indigenous, inexpensive, evidence-based implementable strategies being used in stroke-care. b i Methods: /i /b A detailed literature search was undertaken using PubMed and Google scholar from January 1966 to October 2015 using a range of search terms. Of 921 publications, 373 papers were shortlisted and 31 articles on existing stroke-services were included. b i Results: /i /b We identified efficient models of ambulance transport and pre-notification. Stroke Units (SU) are available in some countries, but are relatively sparse and mostly provided by the private sector. Very few patients were thrombolysed this could be increased with telemedicine and governmental subsidies. Adherence to secondary preventive drugs is affected by limited availability and affordability, emphasizing the importance of primary prevention. Training of paramedics, care-givers and nurses in post-stroke care is feasible. b i Conclusion: /i /b In this systematic review, we found several reports on evidence-based implementable stroke services in LMICs. Some strategies are economic, feasible and reproducible but remain untested. Data on their outcomes and sustainability is limited. Further research on implementation of locally and regionally adapted stroke-services and cost-effective secondary prevention programs should be a priority.
Publisher: University of South Florida Libraries
Date: 05-2020
DOI: 10.5038/1827-806X.49.2.2316
Abstract: Lying at the southernmost point of the Lucayan Archipelago, the Turks and Caicos Islands are amongst the better studied localities for anchialine cave bio ersity. For nearly five decades, novel invertebrate fauna, comprised primarily of crustaceans, have been collected from these tidally influenced pools – but new findings are always on the horizon. Herein we present new records of crustaceans and annelids from anchialine blue holes and horizontal caves of the Turks and Caicos. These findings include two potentially new species of meiofaunal annelids and a new species of remipede collected from a shallow water cave pool. Our 2019 expedition additionally expands known faunal distributions for several taxa across the Caicos islands, and raises the bio ersity of the region to 35 species, 13 of them considered endemic. This is the first comprehensive faunal list for the anchialine systems in the Caicos Bank.
Publisher: Magnolia Press
Date: 05-07-2016
Publisher: Elsevier BV
Date: 11-2021
Publisher: The Royal Society
Date: 10-2021
DOI: 10.1098/RSOS.210541
Abstract: Annelids are predominantly found along with the seafloor, but over time have colonized a vast ersity of habitats, such as the water column, where different modes of locomotion are necessary. Yet, little is known about their potential muscular adaptation to the continuous swimming behaviour required in the water column. The musculature and motility were examined for five scale worm species of Polynoidae (Aphroditiformia, Annelida) found in shallow waters, deep sea or caves and which exhibit crawling, occasional swimming or continuous swimming, respectively. Their parapodial musculature was reconstructed using microCT and computational three-dimensional analyses, and the muscular functions were interpreted from video recordings of their locomotion. Since most benthic scale worms are able to swim for short distances using body and parapodial muscle movements, suitable musculature for swimming is already present. Our results indicate that rather than rearrangements or addition of muscles, a shift to a pelagic lifestyle is mainly accompanied by structural loss of muscle bundles and density, as well as elongation of extrinsic dorsal and ventral parapodial muscles. Our study documents clear differences in locomotion and musculature among closely related annelids with different lifestyles as well as points to myoanatomical adaptations for accessing the water column.
Publisher: Museum National D'Histoire Naturelle
Date: 03-04-2018
DOI: 10.5852/EJT.2018.421
Publisher: Wiley
Date: 10-2018
DOI: 10.1111/ZSC.12258
Publisher: Elsevier BV
Date: 05-2018
Publisher: Elsevier BV
Date: 09-2016
Publisher: Springer Science and Business Media LLC
Date: 29-03-2022
Publisher: Magnolia Press
Date: 10-02-2012
Publisher: Springer Science and Business Media LLC
Date: 21-05-2021
Publisher: Springer Science and Business Media LLC
Date: 11-2011
Publisher: Oxford University Press (OUP)
Date: 2013
Publisher: Pensoft Publishers
Date: 09-2023
Publisher: Springer Science and Business Media LLC
Date: 31-03-2021
Publisher: Wiley
Date: 22-03-2017
DOI: 10.1002/ECE3.2853
Publisher: Springer Science and Business Media LLC
Date: 29-10-2019
Publisher: Oxford University Press (OUP)
Date: 08-10-2016
Location: United States of America
No related grants have been discovered for Brett C. Gonzalez.